Doctor Name: | DR. NATALIE HERNANDEZ-KOZMA |
NPI Number: | 1366713901 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 18, 380 |
Business Practice Address: | 740 Ave Hostos Medical Center Plaza, Suite 305 Mayaguez, PR - 006821539 |
Business Phone Number: | 7876524864 |
Business Fax Number: | 7876524865 |
Mailing Address: | Po Box 7436, MAYAGUEZ |
State: | PR |
Postal Code: | 006817436 |
Phone Number: | 7876524864 |
Fax Number: | 7876524865 |
NPI Enumeration Date: | 01/12/2012 |
NPI Last Update Date: | 12/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18, 380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |